Provider Demographics
NPI:1215084066
Name:HELLMAN, BETTY (PHD)
Entity type:Individual
Prefix:DR
First Name:BETTY
Middle Name:
Last Name:HELLMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 WEST 12TH ST
Mailing Address - Street 2:APT 5C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011
Mailing Address - Country:US
Mailing Address - Phone:212-675-0898
Mailing Address - Fax:212-807-9929
Practice Address - Street 1:49 WEST 12TH ST
Practice Address - Street 2:APT 5C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011
Practice Address - Country:US
Practice Address - Phone:212-675-0898
Practice Address - Fax:212-807-9929
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103TP0814X
NY0047201103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4246742OtherAETNA
NYF0028817OtherGHI
NY4246742OtherAETNA